Active NPI
Breanna Rae Lambach, DC
- Chiropractor
- Plymouth, MN
National Provider Identifier
1356813588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6561
- Practice address
- 3140 Harbor LN N Ste 102
Plymouth, MN 55447-5118 - Phone
- (763) 230-7333
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6561 | MN | Primary |
Addresses
Primary practice location
3140 Harbor LN N Ste 102
Plymouth, MN 55447-5118
Mailing address
3140 Harbor LN N Ste 102
Plymouth, MN 55447-5118
Phone (763) 230-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6561 | Other | MN | CHIROPRACTIC BOARD |
Other names 1
- Breanna Rae Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1021 Berry Ave
Tomah, WI 54660-3400
Phone (608) 372-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6561 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Chiropractic, P.C. | Past | Accepting new patients | |
| Living Well Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Tomah, WI
- NPI 1477829745
-
- Chiropractor
- Plymouth, MN
- NPI 1598068439
-
- Independent Medical Examiner Chiropractor
- Plymouth, MN
- NPI 1881900181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1356813588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 HARBOR LN N STE 102",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475118",
"telephone_number": "763-230-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 HARBOR LN N STE 102",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475118",
"telephone_number": "763-230-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBACH",
"first_name": "BREANNA",
"middle_name": "RAE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC BOARD",
"identifier": "6561",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNA",
"last_name": "ADAMS",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MN
- Lakeland Health Services, Inc. (Lakeland Sleep & CPAP)
- Lakes Orthotics & Prosthetics Inc
- Miranda Lee Lakmann, PT, DPT, CSCS
- Lam Family Dentistry
- Katherine Elizabeth Lamb, MS CCC-SLP
- Taylor Ilten Lambrecht
- Megan Marie Lampright
- Land of Lakes Orthotics & Prosthetics
- Randy James Landa, D.D.S.
- Jill Landecker, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.